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目的:探讨急性高原肺水肿X线表现及临床应用价值。方法:对48例临床诊断急性高原肺水肿者行X线胸片检查,对其X线表现进行系统地回顾分析。结果:急性高原肺水肿X线表现多样,其中支气管血管束增粗41例,占85%;散在片状影或云絮状影38例,占79%;肺间蝶状影2例,占4%;小结节影5例,占11%。其中左肺肺病变6例,占13%;右肺病变28例,占58%;双肺病变14例,占29%。右肺病变重于左肺,早期和恢复期以肺间质异常为主,进展期与稳定期病变主要累及肺实质。结论:急性高原肺水肿有特定的X线表现,X线检查安全无创,非常有利于高原肺水肿的早期诊断和防治。
Objective: To investigate the X-ray findings and clinical value of acute high altitude pulmonary edema. Methods: 48 cases of acute high altitude pulmonary edema were examined by X-ray, the X-ray findings were systematically reviewed. Results: X-ray manifestations of acute high altitude pulmonary edema varied, including bronchial vascular bundle thickening in 41 cases, accounting for 85%; scattered in patchy or flocculent shadow 38 cases, accounting for 79%; 2 cases of pulmonary butterfly shadow, accounting for 4 %; Nodules in 5 cases, accounting for 11%. Among them, 6 cases of left lung and lung lesions, accounting for 13%; right lung lesions in 28 cases, accounting for 58%; double lung lesions in 14 cases, accounting for 29%. Right lung disease is heavier than the left lung, early and recovery of interstitial lung disease mainly, advanced and stable lesions mainly involving the lung parenchyma. Conclusion: Acute high altitude pulmonary edema has a special X-ray findings, non-invasive X-ray examination is very conducive to the early diagnosis and prevention and treatment of high altitude pulmonary edema.